Carr William Reginald Joseph, O'Dair Graham
Northern Deanary, Durham, UK.
BMJ Case Rep. 2012 Sep 21;2012:bcr0220125788. doi: 10.1136/bcr.02.2012.5788.
A 65-year-old man presented to the general surgical outpatients with an incarcerated left inguinal hernia. Initial investigations revealed an iron deficiency anaemia that was investigated with a colonoscopy and gastroscopy. This revealed a sigmoid cancer and the staging CT scan confirmed a tumour incarcerated in the sac of the left inguinal hernia. We proceeded with a laparoscopic high anterior resection using the inguinal hernia as the extraction site. The hernia was repaired using Permacol mesh. No postoperative complications occurred.
一名65岁男性因左侧腹股沟嵌顿疝就诊于普通外科门诊。初步检查发现缺铁性贫血,遂进行结肠镜和胃镜检查。检查发现乙状结肠癌,分期CT扫描证实肿瘤嵌顿在左侧腹股沟疝囊内。我们以腹股沟疝为切口部位进行了腹腔镜高位前切除术。使用Permacol补片修补疝。术后未发生并发症。